We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Physician Career Satisfaction Across Specialties: Are We Getting the True Picture?

Ashish Atreja, MD, MPH; Neil Mehta, MD
Arch Intern Med. 2003;163(2):244. doi:10.1001/archinte.163.2.244-a.
Text Size: A A A
Published online


The article by Leigh et al1 on physician satisfaction deals with a very important construct, "satisfaction," and is very informative. The data set is large and accounts for a large number of variables that affect physician satisfaction. However, we wish to raise some concerns regarding the interpretation of the data in the study. Income has been shown to be significantly and positively correlated with physician satisfaction in not only this study but also many other previous studies.2 While ranking the specialties on the "very satisfied" and "dissatisfied" categories, the authors have controlled for not only demographic variables but also an important variable such as income, which is dependent on specialty chosen. This has resulted in ranking physician satisfaction among specialties irrespective of what the earning potential of such specialties are. This might have resulted in spuriously lower rankings of highly sought after specialties such as ophthalmology, otolaryngology, cardiology, and gastroenterology and might also explain the discrepancy in rankings of this study compared with previous studies (in which income was not controlled).2 Career decisions regarding choosing a specialty by medical students and residents are not made in a vacuum but with keeping the earning potential of the specialty in mind. The ranking enlisted in the study by Leigh et al1 may not be able to give an accurate picture to them.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles